Medicare claim modifers

Other Modifiers for Medicare Claims AP Determination of refractive state was not performed in the course of diagnostic ophthalmological examination. No effect on payment. AQ Physician providing a service in an unlisted health professional shortage area (HPSA). For...

Out – patient ASC modifiers – 73 , 74

Out-patient Hospital/Ambulatory Surgical Center (ASC) Modifiers 73 Discontinued out-patient hospital/ambulatory surgical center (ASC) procedure prior to the administration of anesthesia – Due to extenuating circumstances or those that threaten the well being of...

Distinct procedural service – Modifier 59

Part – A  Level I Modifiers 59 Description Distinct procedural service. Required for Claims Hospital Outpatient Prospective Payment System (OPPS), Free-Standing Physical Therapy/Speech-language Pathology, Skilled Nursing Facility, End Stage Renal Disease...